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IMAGE QUIZ
Year : 2018  |  Volume : 6  |  Issue : 3  |  Page : 174-178

Postmenopausal uterine lesion


Department of Pathology, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

Date of Web Publication14-Aug-2018

Correspondence Address:
Tarek Elsharkawy
Department of Pathology, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam
Saudi Arabia
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DOI: 10.4103/sjmms.sjmms_103_18

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How to cite this article:
Alsaeed WR, Albayyat LS, Elsharkawy T. Postmenopausal uterine lesion . Saudi J Med Med Sci 2018;6:174-8

How to cite this URL:
Alsaeed WR, Albayyat LS, Elsharkawy T. Postmenopausal uterine lesion . Saudi J Med Med Sci [serial online] 2018 [cited 2018 Dec 10];6:174-8. Available from: http://www.sjmms.net/text.asp?2018/6/3/174/238989



A 56-year-old p5 + 1 obese female with a history of type 2 diabetes, hemophilia C and right breast invasive ductal carcinoma (diagnosed in 2009) presented with postmenopausal bleeding. Pelvic magnetic resonance imaging revealed a large, rounded, space-occupying lesion (measuring 7.3 cm in maximum dimension) within the myometrium of the posterior wall of the uterine corpus. The patient underwent vaginal hysterectomy with bilateral salpingo-oophorectomy. Radiological, gross and histopathological findings are shown in [Figure 1].
Figure 1: (a) Sagittal view of pelvic magnetic resonance imaging; (b) Gross section of uterine fibroid with a gray-yellow cut surface; (c and d) Histopathological images of the lesion (H and E ×100, ×200)

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  1. Which immunohistochemical stains should be ordered?
  2. What are the differential diagnoses?




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